HomeMy WebLinkAbout989 5-5-21_4-4PERMIT NO. I I
El ENHANCED LEAK DETECTION 171 LINE TESTING X SB -989 SECONDARY CONTAINMENT TESTING
El TANK TIGHTNESS TEST ❑ TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
4Z1T[= 1K11=nP1kAAT10M
FACILITY 4010 ARCO
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 4010 Wible Rd. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED?
Q YES
El NO
TANK #
VOLUME
CONTENTS
87 UL
F 2
87 UL
3
91 UL
4
DSL
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hinsley 661-706-4321
MAILING ADDRESS 4007 Brae Burn Dr Bakersfield, Ca. 93306
Bruce W. Hinsley 661-706-4321
CERTIFICATION #:A25212
DATE & TIME TEST TO BE CONDUCTED
ICC #:8032698
�SIGNATURE OF APPLICANT
DATE 2/1212021
FD 2095 (Rev. 09/05)